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HAZMAT INSP 3/10/2015
FACILITY NAME �9 INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT € �` �` °�� � . - ��' • ' (,.- i >. Y � f Vin,.., BUSINESS ID NUMBER ra,�„ � Consent to Inspect Name /Title .:x�.:..a., u. '. � n.✓ . .. aa, i. ,� >. , > '.: a7 ,.. �.. � a:...,.. M ", x. ., <,.. .. :. ..Z. > . ..... ?a. ,. K >5 ..., > ... h. µF.. `;Y' .0 .. : z + .:.., .,>^x`"c � .,.. .. ,'Ty' x 'T''' . ,...• .� � .} F,.. .... a, c. .,n r.. 9 „z.. � .. ,.a..a. .,'�'. ., > 4. .> w .: .,>. :.� w rt. �r' r ..r£.a..� ms's. °��'7. � , i�� , .�... r- �.. ,. � �� .., ', .+. W �'. n. 1...., .t`kr,. z�... s F f.;j ■ %x. : "'2' .y : .. x�,R. ✓wv , ,,.. k '...'� ',::' . 6 ri ,,:, ,. ..:. '; -a, � w' :,+ .> > i 9 :. ,: : .. >. ,`�«. ., .. .. •x, ti... �. Ya v ..¢,�, > , a.. ., T,zx . R. M �f, ......� .. .:,, S'ab. $ 'riw.y ✓/ .iN,wx. '% J , x .. 2. ' : .. , , ., .fie .a � ,. �... w� «, ,. .:'�... �. .,..,b �' 'k.. a. Cy& :,3J :,s .,♦ 3, '?Z . 'k`�if ,. m. 2"`%��. .� � �� ><, ..>.� a&'^8...�._„ ♦ �.... M1��.S�ra a,.,�rc: �ha, c„ F ...,1 "'}3*a ..,?.<.>,Ww� .�.'�SeS >.W,..x .,� -E] ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ aF: .. -,a',e ..x r ,, s„Fr. s. K �,en ,���, a��. xCr, ) . ✓ �i 3 ,n. F �. C ,t, 't 9 )„ �f F .,>. n . ? a ,.a> >... ,.� ,!::C :)'"�.. F', al ,. >, a.. � r., i.,. l ... >!a $'�,'.. .> J b>i. .We�,., v= ..!. , .✓ , a &:, , ✓r. y'. 4. .. Y 1•. ”. i. .Sa' s .x tt .,n. ,.,. 3. �...... .. �.. >.. ai `♦ c '?> ;. :?i'a'.`g a 1s.'' r�.. 3' � (v a� '.� a,. .. s . '.'" s ';. .� x.r �� ""'r' day.; ,.: ,x S.. ...3 K .. ... ,.. i, .. r .. ka5. > .e:� R, � .., ±.. $" °'Yi , ..n I �i ,. .. ..: F 5'.. eCx' d. 'F ... .+,.rW'. >. :,. ,., c. .f �. ".�. P ? 9. F�.,,,.�k:�.�:�+'ae .. vx�, ,te�«x � �n.� .z�,a, �„..k�'� #.. .MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C=Gompfiance OPERATION V =Violation; 1,11 Minor CERS Violation COMMENT APPROPRIATE PERMIT ON HAND (BM G: 15.65.080) 3010001 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 VISIBLE ADDRESS (CFC: 505.1, BM C: 15.52.020) -= CORRECT OCCUPANCY (CBC: 401) VERIFICATION OF INVENTORY MATERIALS ( CR:2729.3) 1010004 VERIFICATION OF QUANTITIES (CR: 2729.4.) 1010006 VERIFICATION OF LOCATION (CR: 2729.2) PROPER SEGREGATION OF MATERIAL ( FC: 2704.1) VERIFICATION OF SDS'AVAILABILITY (CCR: 29.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING CCR: 2732) 1020002 VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES ( CR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 ` CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007 HOUSEKEEPING (CFC: 304.1) ff FIRE PROTECTION (CF : 903 & 906) 3030032 1' SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005. ANY HAZARDOUS WASTE ON SITE? ❑ YES - 2" NO Oignature ofRecei t Explain: Inspector• 4r POST INSPECTION INSTRUCTIONS: + Correct the violation(s) noted above by + Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature (that all violations have been corrected as noted) Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Date White — Business Copy Yellow — Station Copy Pink - Prevention Services FD2155 (Rev 8H14)